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Table 1 Demographic characteristics, clinical features, laboratory investigation, and genetic analysis of patients

From: A Japanese single-center experience of the efficacy and safety of asfotase alfa in pediatric-onset hypophosphatasia

Case

Clinical form of HPP

Sex

Age at onset of HPP

Symptom at first onset

Age at AA treatment introduction

Age at last follow-up

ALP before AA treatment (lower limit of standard value by age)

Genetic variants (NM_000478.6)

Family history of HPP

Orthopedic findings on X-ray

Renal calcification

Pain

Periodontal disease

1

Mild childhood

M

2 years

Foot pain

5 year 0 months

7 years 0 months

197 (< 430) IU/L

c.613G>A (p.Ala205Thr)/c.1559delT (p.Leu520fs)

+

N.C

+

+

2

Mild childhood

F

0 years 6 months

Poor weight gain

10 years 1 months

12 years 0 months

400 (< 470) IU/L

c.984_986delCTT (p.Phe327del) Heterozygous variant

+

+

3

Mild childhood

M

1 years

Premature loss of deciduous tooth

1 years 5 months

3 years 2 months

79 (< 395) IU/L

c.526G>A (p.Ala176Thr)/c.920C>T (p.Pro307Leu)

+

+

4

Mild childhood

M

9 years 10 months

Pain in knee and hip

11 years 5 months

12 years 2 months

421 (< 470) IU/L

c.1559delT (p.Leu520fs) Heterozygous variant

+

5

Mild childhood

M

7 years

Short stature

10 years 4 months

12 years 7 months

359 (< 460) IU/L

c.382G>A (p.Val128Met)/c.529G>A (p.Ala177Thr)

+

+

+

6

Mild childhood

F

10 years

Knee pain

17 years 1 months

18 years 7 months

135 (< 130) IU/L

c.382G>A (p.Val128Met)/c.529G>A (p.Ala177Thr)

+

+

+

7

Mild childhood

M

4 years 2 months

Premature loss of deciduous tooth

4 years 3 months

5 years 2 months

113 (< 430) IU/L

c.572A>G (p.Glu191Gly)/c.1559delT (p.Leu520fs)

+

+

8

Benign prenatal

M

At birth

Unequal length of limbs

16 years 3 months

21 years 1 months

103 (< 270) IU/L

c.979T>C (p.Phe327Leu)/c1559delT (p.Leu520fs)

+

+

+

9

Benign prenatal

F

At birth

Bilateral femur deformity

1: 4 years 5 months

2: 6 years 3 months

9 years 4 months

157 (< 430) IU/L

c.568_570delAAC (p.Asn190del)/c.979T>C (p.Phe327Leu)

+

+

10

Perinatal

F

At birth

Short limbs

At birth

2 years 4 months

8 (< 530) IU/L

c.1333T>C (p.Ser445Pro)/c.1559delT (p.Leu520fs)

+

N.C

  1. Patient 5 is the younger brother of patient 6
  2. ALP, alkaline phosphatase; AA, asfotase alfa; HPP, hypophosphatasia; N.C., not conducted